We know how busy you can be with your practice. That's why we've made it easier to apply for the D.C. Long Term Disability Insurance Plan, issued by The Prudential Insurance Company of America. You can do it right now with a simplified application.*
What you'll need
To select your monthly benefit amount, you’ll need to know your monthly earnings amount. Have the IRS federal income tax forms for the last two years handy for reference.
This site gives general information on the benefits and features of the D.C. Long Term Disability Insurance Plan. The Certificate of Coverage will include any exclusions, limitations and restrictions which may apply.
The D.C. Long Term Disability Insurance Plan is currently not available in Alaska.
When your coverage will start
Your D.C. Long Term Disability Insurance Plan will become effective on the first day of the month after you have been approved and have paid the first premium, as long as you are working at least 30 hours a week. (If you are not working at least 30 hours a week, coverage will start the first of the month after you return to working at least 30 hours a week.)
Get a quote now
Find out how affordable this coverage can be and get a quote right now. Once you see your quote, you will have the opportunity to complete an online application.
Or, download an application
If you choose not to complete an application online, you can download one. Simply click on the appropriate link below to access the form you need. Then, mail, fax or email your completed form back to us. If you have any questions, please call 1-800-769-2000, ext. 8640 so an NCMIC Client Representative can help you.
For all states except North Carolina and Virginia, click here.
For D.C.s in North Carolina, click here.
For D.C.s in Virginia, click here.